Cápsula endoscópica y hemorragia digestiva de origen oscuro: ¿importa la forma de presentación?

Martínez‐González, Javier; Téllez, Luís; Aicart-Ramos, M.; Pérez, Laura Crespo; Morales, Javier Graus; Miguel, Daniel Boixeda de; Martínez, Agustín Albillos

doi:10.1016/j.gastrohep.2014.09.004

Cited by 2 publications

(2 citation statements)

References 41 publications

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“…19 Se ha reportado que el sexo masculino y el uso de anticoagulantes, además de ser factores que asocian mayor RD para todo tipo de patología del ID, son factores de riesgo para resangrado. 21,22,29 Una limitante del presente trabajo fue la falta de información sobre el consumo de los anticoagulantes.…”

Section: Discussionunclassified

“…20 Más recientemente, se ha observado que la edad, las transfusiones de sangre, el uso de anticoagulantes y el sexo masculino son factores asociados con mayor RD para todo tipo de patología del ID. 21,22 Los objetivos de este trabajo fueron evaluar el RD de la VCE en pacientes con SSID manifiesto y determinar la presencia de los factores clínicos o de laboratorio predictores de hallazgos.…”

Section: Introductionunclassified

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Rendimiento diagnóstico de la videocápsula endoscópica en el sangrado del intestino delgado manifiesto

Arriola¹,

Valencia²,

Olano³

2020

Acta gastroenterol. latinoam.

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Introduction. The small bowel capsule endoscopy is the first line procedure in patients with suspected small bowel bleeding. Data regarding overt suspected small bowel bleeding and its predictive factors remain still limited. Aim. To assess the diagnostic yield of the capsule endoscopy and the factors predicting positive findings in patients with overt suspected small bowel bleeding. Methods. Patients with overt suspected small bowel bleeding (melena or enterorrhagia) and negative upper and lower endoscopy were included. A positive diagnostic yield was considered when the capsule endoscopy diagnosed one or more P2 or P3 type lesions (Modified Saurin Classification) Demographic and laboratory data were recorded. Results. 79 patients were included (mean age 62.92 (15-89); F:M 46:33). The diagnostic yield of the capsule endoscopy was 62%. The most frequent finding was angioectasia (44.8%), followed by nonspecific inflammation/ulceration (20.4%). The multivariate analysis found that age older than 50 years and male sex were independent variables that were associated with an increased risk of positive findings and angioectasia. Conclusions. In this group of patients with overt suspected small bowel bleeding, the capsule endoscopy was useful (with a diagnostic yield of 62%). The most frequent lesions were the vascular ones. Age over 50 and male sex were independent predictors of finding lesions and angioectasia.

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Section: Introductionunclassified

Rendimiento diagnóstico de la videocápsula endoscópica en el sangrado del intestino delgado manifiesto

Arriola¹,

Valencia²,

Olano³

2020

Acta gastroenterol. latinoam.

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Video capsule endoscopy in overt and occult obscure gastrointestinal bleeding: Insights from a single‐center, observational study in Japan

Tojo,

Sujino,

Hayashi

et al. 2024

DEN Open

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ObjectiveThis study aimed to evaluate the use of video capsule endoscopy (VCE) in patients with obscure gastrointestinal bleeding (OGIB), compare cases of overt and occult OGIB, assess the rates of balloon‐assisted enteroscopy (BAE) interventions and rebleeding, and identify predictive markers of positive VCE findings.MethodsMedical records of 430 patients who underwent VCE for OGIB between 2004 and 2022 were analyzed. Occult OGIB was defined as IDA or positive fecal occult blood, whereas overt OGIB was defined as clinically imperceptible bleeding. We retrospectively analyzed demographics, VCE findings based on Saurin classification (P0, P1, and P2), outcome of BAE interventions, and rebleeding rates.ResultsA total of 253 patients with overt OGIB and 177 with occult OGIB were included. P1 findings were predominant in both groups, with a similar distribution. The percentage of patients receiving conservative therapy was higher in P1 than in P2 for both overt and occult OGIB. BAE was more frequently performed in P2 than in P1 VCE (83.0% vs. 35.3% in overt OGIB, 84.4% vs. 24.4% in occult OGIB). The percentage of positive findings and intervention in total BAE performed patients were comparable in P1 and P2 of overt OGIB, whereas these percentages in P2 were more than P1 of occult OGIB.ConclusionVCE effectively identified OGIB lesions requiring intervention, particularly occult OGIB lesions, potentially reducing unnecessary BAE. Rebleeding rates varied according to the VCE findings, emphasizing the importance of follow‐up in high‐risk patients.

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Cápsula endoscópica y hemorragia digestiva de origen oscuro: ¿importa la forma de presentación?

Cited by 2 publications

References 41 publications

Rendimiento diagnóstico de la videocápsula endoscópica en el sangrado del intestino delgado manifiesto

Rendimiento diagnóstico de la videocápsula endoscópica en el sangrado del intestino delgado manifiesto

Video capsule endoscopy in overt and occult obscure gastrointestinal bleeding: Insights from a single‐center, observational study in Japan

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